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General NPI Number Information
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NPI Number | 1801247259
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Entity Type | Individual
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Provider Name | MANDI SLATON-SAFFLES FNP
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Gender | Female
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Dates
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Enumeration Date | 06/27/2016
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Last Update Date | 02/24/2022
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Provider Practice Location Address
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Address Line | 2037 CONGRESS PKWY S
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City | ATHENS
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State | TN
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Zip | 37303-2813
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Country | US
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Telephone | 423-381-0152
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Fax | 423-381-8063
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Provider Business Mailing Address
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Address Line | 2037 CONGRESS PKWY S
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City | ATHENS
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State | TN
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Zip | 37303-2813
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Country | US
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Telephone | 423-381-0152
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Fax | 423-381-8063
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 21335
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License Number State | TN
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